HomeMy WebLinkAboutPermit Electrical 1994-1-2
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.The folloY/lng project es Gubmitted heG the following
225 FIFTH STREET zoning. Dnd doeG not roqui;. spoemc land use ELECTRICAL PERMIT APPLICATION
SpRINGFIELD, OREGON 97477"01. ,
INSPECTION REQUEST: 726-37.69:ino ~ Ci ty Job Number q /fj to q 0
OFFICE: . 726-3759 'I -.\ ro. I
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1. LO~~"G?q IN,,,pT~.uturo ,,<:Q, A.
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( ~ ~~IiCJUPTION "
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JOB DiljCRIPTION __ /\
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor..:::r8 ~ to,
a~1 k>t:!- ~
Phone t::>?"?/ S--7?CJ
/7Rb
Ci ty &vlC,~
Address
,
% /.-::JS
lolt /9.r
7?'l.f;zuO
Expiration Date &/:2-7-/'1'/
Sign~tuiot::1?~an
.. OwerVName ~.Rk,/O"a.. ~ 1'11I.B!h:L.d7f" D.
fe), b&>< /)
7'tt~11&,1
Supervisor License Number
Expiration Date
Constr Contr. Number
Address
Ci ty ~UA.Src7"fl/ Phone
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE~----I-:(-~=<f~-----------------
RECEIPT 11: II :>,cJ t:;
RECEIvED BY: It . . . -:
---
3.
COHPLETE FEE SCHEDULE BELOV
uni to
Items Cost Sum
1000 sq.ft. or less / $ 85.00 g~,..
Each additional 500
sq. ft or portion :3 tfy
thereof $ 15.00
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
New Residential-Single or
Multi~Family per dwelling
Service Included:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline LightinR $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /3C9 -
5X.State Surcharge ~,~~
TOTAL . J3,6,SO
.One Circui t
Each Additional
Circuit or with Service
or Feeder Permit